You would expect to include all of the following nursing interventions in Lily's plan of care EXCEPT:

A. Involve family in treatment: Family involvement helps address relational stressors and improves communication and support systems. Education and collaboration with caregivers can reduce triggers for self-harm and reinforce healthy coping strategies. Inclusion is guided by safety, consent, and therapeutic goals. B. Encourage secrecy to maintain trust: Encouraging secrecy can increase risk by limiting safety planning and preventing appropriate monitoring. Nursing care emphasizes transparency, safety, and appropriate information sharing when self-harm is present. Trust is built through honest communication and protective collaboration. C. Refer for dialectical behavior therapy (DBT): DBT is an evidence-based approach for adolescents who engage in self-injury. It focuses on emotion regulation, distress tolerance, interpersonal effectiveness, and mindfulness. Referral supports development of safer coping skills. D. Teach alternative coping strategies: Teaching skills such as grounding, journaling, sensory modulation, or reaching out for support provides practical alternatives to self-harm. These strategies target emotional regulation and reduce reliance on injurious behaviors.